Contract Pharmacy Details

BASHAS' UNITED DRUG
CH093030 ADELANTE HEALTHCARE, INC.

Covered Entity Details

Entity Name

ADELANTE HEALTHCARE, INC.

Subdivision Name

Adelante Healthcare

Type

HRSA-Funded Health Center

340B ID

CH093030

Entity Address

3033 N. Central Ave.
Phoenix, AZ 85012-4403

Grant Number

H80CS00140

Participating Start Date

12/1/1992

Last Recertification Date

2/12/2025

Pharmacy Details

Pharmacy Name

BASHAS' UNITED DRUG

Pharmacy Address

275 N TEGNER UNIT 1
WICKENBURG, AZ 85390

Pharmacy Comments

Changed Zip (was 85358)

Contract Details

Approval Date

4/7/2015

Contract Begin Date

7/1/2015

Carve-In Effective Date

Contract Comments

Contacts

Covered Entity Signing Official

Richard Miller, CFO
(623) 583-3001

Contract Pharmacy Representative

MIKE MCKINLEY, Director of Pharmacy
(480) 895-5372

Signed By Date

4/7/2015

340B Drug Pricing Program Database